Overview
Hidradenitis suppurativa (HS) is a chronic skin condition causing painful lumps, abscesses, and scarring, usually in areas with sweat glands like armpits, groin, and under the breasts.
Symptoms
Painful, pea-sized lumps under the skin Recurrent abscesses or boils that may drain pus Scarring and skin tunnels over time Itching or discomfort in affected areas
Causes
Blocked hair follicles and sweat glands Inflammatory response in the skin Genetic factors and family history Obesity, smoking, and hormonal influences can worsen symptoms
Diagnosis
Clinical examination of affected areas Patient history regarding recurrent lesions Imaging tests in severe or deep lesions
Treatment
Topical or oral antibiotics to control infection Anti-inflammatory medications or biologics Surgery to remove severe or persistent lesions Lifestyle measures: weight management and smoking cessation
Complications
Scarring and skin changes Chronic pain and limited mobility Secondary infections
Prevention
Early treatment of initial lesions Avoid smoking and maintain healthy weight Good hygiene in affected areas